Form 502e - Maryland Application For Extension To File Personal Income Tax Return - 2012

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MARYLAND APPLICATION FOR
2012
FORM
502E
EXTENSION TO FILE PERSONAL
INCOME TAX RETURN
OR FISCAL YEAR BEGINNING
2012, ENDING
Your Social Security number
Spouse’s Social Security number
Your First Name
Initial
Last Name
Spouse’s First Name
Initial
Last Name
Number and street
For Office Use Only
City or Town
State
ZIP Code
ME
YE
EC
EC
IF NO TAX IS DUE WITH THIS EXTENSION, FILE THE EXTENSION AT: OR CALL 410-260-7829
FROM CENTRAL MARYLAND OR 1-800-260-3664 FROM ELSEWHERE TO TELEFILE THIS FORM.
Tax Payment Worksheet
Instructions for Tax Payment Worksheet
Line 1 - Income tax
Line 4 - Estimated allowable credits
Enter the total amount of personal income tax you expect to
Enter allowable tax credits.
owe. Use Form 502, 503, 505 or 515 as a worksheet.
Line 5 - Total payments and credits
Line 2 - Withholding
Add lines 2 through 4 and enter the total on line 5.
Enter the amount of Maryland income tax withheld from your
Line 6 - Tax due
wages for the tax year.
Subtract line 5 from line 1. Enter the result on line 6. This
Line 3 - Estimated income tax payments
is your tax due. If it is $1 or more, file this form and attach
Enter the total amount of Maryland estimated payments you
your payment. If the tax due is less than $1, stop. No pay-
paid with Form 502D or 502DEP for the tax year. Include any
ment is required.
2011 overpayment credited to your 2012 tax and any
amount paid on your behalf with Form MW506NRS.
1. Income tax you expect to owe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 _____________________
2. Maryland income tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 ___________________
3. Maryland estimated payments and amount credited from 2011 . . . . . . .3 ___________________
4. Allowable tax credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 ___________________
5. Total payments and credits. Add lines 2 through 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 _____________________
6. Tax due - Subtract line 5 from line 1 . . . . . . . . . . . . . . . . . . . . . . . .6 ___________________
TAX PAID FOR 2012 WITH THIS EXTENSION
$
(If filing and paying electronically or by credit card do not submit this form) . . . . . . . . . . .
To file and pay your extension electronically,
visit and look for ONLINE SERVICES.
Make checks payable to and mail to:
COMPTROLLER OF MARYLAND
REVENUE ADMINISTRATION DIVISION
110 Carroll Street
Annapolis, Maryland 21411-0001
(It is recommended that you include your Social Security number on check using blue or black ink)
COM/RAD-014
12-49

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